CAP Association Sign-Up Form
CAP Marine/Corpsmen Veterans: This is not a "Fill-in-the-Blanks" computer form. You need to print it and mail it to Lenny Pugliese At The Address Below |
CAP Association Sign-Up Form CAP Marine/Corpsmen Veterans: This is not a "Fill-in-the-Blanks" computer form. You need to print it and mail it to Lenny Pugliese At The Address Below |
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Name _____________________________________ Birth Date _________________ Street Address ________________________________________________________ City __________________ State ______ Zip Code (9 Digit) ______________ Home Phone ___________________ Work Phone ___________________ E-Mail Address: ___________________ Occupation ______________________ Dates Of Service In Vietnam _______________________________________________ Dates In Service In CAP or CAC ___________________________________________ Unit Locations __________________________________________________________ Wounded? Yes ____ No ____ Date or Dates __________________________________ CAP Unit Ever Overrun? Yes ____ No ____ Date or Dates _________________ Stationary ____ Mobile ___? Do you wish to receive the CAP newsletter? Yes ____ No ____ Would you attend a reunion? Yes ____ No ____ Comments Or Other CAP Marine Addresses _____________________________________________________________________________________ _____________________________________________________________________________________ |
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Circle One: New or Renewal
Make checks payable to Russell B. Longaway, Trust Account". Add memo note: "CAP Dues" on your check Please mail this completed form to :
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